5 Steps To Vitality

  • 1Phone Consultation
  • 2Schedule Your Appointment
  • 3Medical History Questionnaire
  • 4Wellness Evaluation
  • 5Care Plan Review


Welcome to the Women's Hormonal Quiz! 

Do you have general fatigue and/or afternoon fatigue?
Do you have elevated cholesterol?
Do you have difficulty losing weight?
Do you have cold hands and cold feet and /or are you sensitive to cold?
Do you have difficulty thinking, concentrating, or have short term memory loss?
Do you have depressed moods?
Do you have less than one bowel movement per day?
Do you have dry skin?
Do you have fluid retention?
Do you sleep restlessly and/or have sleep apnea?
Do you feel tired when you awaken?
Do you have experience tingling or numbness in your hands or feet?

Have you had problems with infertility or miscarriages?

Do you have recurrent infections?
Do you have chronic pain such as muscle and/or joint aches?
Are you experiencing hair loss and/or do you have thinning of the eyebrows/eyelashes?
Is your voice hoarse?
Do you have a slow pulse and/or low blood pressure?
Does your body temperature run below the normal 98.6?
Are you under physical or emotional stress?
When you rise quickly, do you feel lightheaded?
Do you have anxiety and/or panic attacks?
Are your eyes sensitive to indoor and/or outdoor light?
Do you have premenstrual breast tenderness?
Do you have premenstrual mood swings?
Do you have premenstrual fluid retention and weight gain?
Do you have premenstrual headaches, including migraines?

Do you have severe menstrual cramps?

Do you have heavy periods with clotting?
Do you have irregular menstrual cycles?
Do you have uterine fibroids and/or fibrocystic breast disease?
Do you have endometriosis?
Do you have hot flashes and/or night sweats?
Do you have vaginal dryness?
Do you urinate frequently?
Have your periods ceased?
Do you have decreased libido?
Do you have recurrent vaginal yeast infections?

Have you taken antibiotics two to three times or more in your life?

Do you have abdominal bodily reactions to wine, beer or alcoholic beverages, such as flushing, headache, sinus congestion or itchy skin?
Do you crave sugar and/or bread products?
Do you have skin problems such as skin rashes, eczema, itching or hives?
Do you have rectal itching?
Do you have fungel infections under the toenails /fingernails or Athlete's foot?
Do you ever have sinus headaches?
Do you have sneezing, post nasal drainage or itching of the nose?
Do you ever have problems with congestion or respiratory infections such as sinus infections, bronchitis, or pneumonia?
Do your eyes itch, water, get red or swell?
Do you  ever have ear infections?
Do you have asthma, wheezing, tightness in the chest or chronic cough?
Do your symptoms worsen with one or more of the following:
a. during a particular season, such as spring or fall?
b. when you go indoors or outdoors?
c. in parks or grassy areas?
d. when you come into contact with dust?
e. around animals?
Do you have dark circles under your eyes?
Do you have a crease across the bridge of your nose?

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